Select Treatment Length

Please note the below order is only calculated for 300 days from the first date selected. If you require any assistance with your order please contact our support team.

Order before 4pm for delivery from
Wed. 21 Nov.

Question about treatment length?

Please note, we calculate the required treatment quantity for you, including any dose to
cover the full course before and after the time period specified so you will always have a complete course of medication.
If you would like to find out more before purchasing please contact our UK support team via
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Description for Lariam 250mg Tablets

Lariam 250mg tablets are available to order online from The Independent Pharmacy Online Doctor. Lariam tablets contain the active ingredient mefloquine and are a convenient once-weekly treatment for malaria prevention and are effective in a number of countries around the world.

Product Information

Larium is an effective malaria treatment and preventative. It available as a tablet and is taken once a week. Treatment begins prior to travel, continues throughout your trip and should be taken for four weeks after your return. It is important that you continue to take the tablets post-travel, to cover the disease’s incubation period.

Larium is a branded medication manufactured by Roche and is available from our UK-based pharmacy. It contains mefloquine hydrochloride, which targets the parasite and stops it from reproducing. This product is adept at tackling the parasites present in regions where malaria has developed an immunity to other antimalarials, such as chloroquine. It also treats active malarial strains, but this needs to be done under a doctor’s supervision.

Malaria is caused by the plasmodium parasite carried by mosquitoes and is transferred to humans through bites. Symptoms can take three months to develop after infection, or even longer in some cases. These include fever, flu-like signs and headache. Some, aggressive strains may cause organ failure and death, so it is important to take precautions.

According to estimates, nearly 1,500 British travellers have contracted malaria in recent years. The condition adapts to and resists certain medications and vaccines so it is essential to research the area to which you are travelling and learn which strains may exist there. This will influence the type and course of treatment you use. Consult the Fitfor Travel NHS website.

You should take Larium weekly, on the same day each week. Take the first dose ten days and a second dose three days before your trip.

Your dosage of Larium tablets depends on your body weight. Adults weighing over 45kg, should take one whole tablet once a week.

Preventing Malaria

In addition to taking anti-malaria tablets, you can lower your risk of developing malaria by avoiding mosquito bites.

Stay in air-conditioned rooms with screens on the doors and windows. If this is not possible, ensure that doors and windows close properly.

If you cannot sleep in an air-conditioned room, sleep under a mosquito net that has been treated with insecticide.

Protect your skin with insect repellent, especially in sleeping environments, and reapply it frequently. The most effective repellents contain diethyltoluamide (DEET) and are available in roll-ons, sprays, sticks and creams.

Instead of shorts wear light, loose-fitting trousers and shirts with long sleeves. This is particularly important during early evening and at night when mosquitoes prefer to feed.

Vitamin B, garlic and ultrasound devices do not protect against mosquito bites.

There are currently no effective Non-Prescription Alternatives for Malaria treatment, however you can take more steps in avoiding being bitten while away by;

Using mosquito repellent containing DEET.

Using a mosquito net treated with insecticide while you are sleeping.

Using a sunscreen designed to help prevent mosquito bites

*Prescription medicines are supplied subject to a medical consultation at the discretion of a doctor.

You should take one tablet every week on the same day each week.

Lariam needs to be taken three weeks before entering an area where malaria is present and continued until four weeks after leaving the malaria area.

You should take Lariam with or after food.

Lariam remains effective with a moderate alcohol intake.

If you do experience side effects from Lariam they may include depression, mood changes, anxiety, confusion, hallucinations, panic attacks, restlessness, paranoia and general agitation. Lariam has a small risk of nausea, vomiting, diarrhoea, and skin rash as with all medicines. There have been rare reports of suicidal thoughts whilst taking Lariam. Please read the Patient Information Leaflet enclosed with your medicines for a full list of side effects.

Lariam should not cause a harmful interaction with any of your other current medicines. Lariam should not be taken if you currently take carbamazepine, chloroquine, halofantrine, ketoconazole, phenobarbital, phenytoin, quinidine, quinine, rifampicin, or valproic acid (valproate). Please read the Patient Information Leaflet enclosed with your medicines for further information.

Lariam is not 100% effective at preventing malaria, however it is still very effective if taken properly and combined with bite avoidance methods.

Remember it is also important to get the correct vaccinations for your trip before you travel. These should be administered around 6 weeks before you leave.

Remember, malaria can take up to a year to develop after you have been bitten. If you experience symptoms including headaches, night sweats and abdominal pain any time during your trip or up to one year afterwards you must see a doctor as soon as possible.

You should take adequate contraceptive precautions to ensure you do not become pregnant whilst taking Lariam and for three months after you have finished the course.

Please seek medical help immediately if you experience serious mental problems while taking Lariam. Lariam should be stopped immediately and replaced with another medicine to prevent malaria.

Stop taking this medicine and contact your doctor immediately if you experience:

attempted suicide.

suicidal thoughts.

self-endangering behaviour.

allergic reaction (anaphylaxis) with symptoms such as difficulty in breathing, swollen tongue, itching and severe rash.

severe changes in texture and appearance of the skin, especially if it affects your mouth and eyes (Stevens Johnson syndrome).

psychosis (losing touch with reality).

severe anxiety.

panic attacks.

fits (seizures or convulsion).

fever, chills, cough, shortness of breath or chest pain. These could be signs of inflammation of the lungs also known as pneumonitis.

Severe liver problems which might be demonstrated by a transient increase in your liver enzymes shown by blood tests or other symptoms such as tender, firm or possibly enlarged liver, jaundice (yellowing of skin/eyes), dark urine, light coloured stools and generalised itchiness.

Pins and needles, weakness, numbness, new or worsening clumsiness or unsteadiness on your feet, or shaking of the hands and fingers.

Painful mouth or throat ulcers, fever, chills, bruises on the skin, nosebleeds, bleeding in the stomach or vaginal bleeding. These could be signs of blood disorders.

Delivery & Shipping Information

UK ORDERS

We offer FREE standard tracked delivery on orders over £40.

The following delivery options are available:

Standard Tracked Delivery - 2/3 day delivery - £2.95

Express Tracked Delivery - 1/2 day delivery - £4.45

DPD Next Day - 1 working day - £6.95

Special Delivery (Guaranteed before 1pm) - £8.95

Saturday Guaranteed before 1pm - £10.45

Important Delivery Information

All our orders are sent out using Royal Mail (unless stated). We always aim to dispatch all Royal Mail orders received before 4pm the same working day. Any orders received after 4pm or over the weekend will be dispatched the next working day. We aim to dispatch all DPD orders placed before 3pm on the same working day.Orders will not be dispatched on weekends or bank holidays.

All orders are subject to approval by our team of doctors and pharmacists. Your delivery date in the checkout is subject to your consultation being approved by our healthcare team.

All orders can be fully tracked from your dispatch email and in your account.

We ensure all parcels are in plain packaging for discreet delivery of your medicines and pharmacy goods.

Deliveries containing pharmacy-only or prescription medicines may require a signature on receipt.

Delivery is free for all NHS prescriptions.

Royal Mail

Royal Mail are the most widely recognised mail delivery company in the UK. Being on the UK’s 29 million doorsteps six days a week means they offer unparalleled price and convenience. The Independent Pharmacy uses Royal Mail’s Tracked 48, Tracked 24, and Special Delivery Guaranteed parcel services to offer reliable, fully-tracked delivery at very competitive prices. Your Royal Mail parcel will arrive with your normal daily delivery of post.

Please note: Royal Mail do not deliver on Sundays or Bank Holidays - this should be taken into account when ordering.

If you are not home to accept your delivery, a card should be left by the Royal Mail representative. This card will provide details of where you can collect the order or how to arrange re-delivery.

Should you be unable to collect your missed delivery or arrange for your medication to be redelivered by Royal Mail, the pharmacy can resend your medication to the same, or a different address provided it has been returned to us and this happens within a 30 day window.

Once a package has been shipped with Royal Mail we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.

DPD

DPD Local is the most innovative parcel carrier around. Thanks to their industry-leading Predict service, they provide parcel recipients with a one hour delivery window, notified by email, so you don't have to wait in all day. What's more, it enables receivers to watch the progress of their delivery on a real-time map, all the way down to a final 15 minute time-slot.

As well as keeping customers informed at every stage of the journey, DPD believe in maximising choice and convenience. That's why DPD provide access to a suite of options both on the day of delivery and the night before, allowing customers to take delivery of their goods in a way that suits. If you wish to reschedule, you can:

Select an alternative delivery date

Opt for delivery to a nominated neighbour

Have the parcel left in a specified safe place

Collect the parcel from your local DPD Pickup Shop

Upgrade delivery to By 12

Please note: DPD do not deliver on Saturdays, Sundays or Bank Holidays - this should be taken into account when ordering.

Once a package has been shipped with DPD we advise that you are bound to the terms and conditions of their use together with the terms and conditions contained herein.

You have the right to cancel your order up to the point when your treatment is dispatched. The pharmacist must destroy any medication within 30 days of it being returned, even un-opened boxes, so we are not able to offer refunds once your treatment has been dispatched.

Forwarding houses

We are unable to ship orders to mailing or forwarding houses for onwards shipping to locations outside of the UK.

BFPO Postcodes

Unfortunately we are unable to deliver medicines to BFPO postcodes.

Remote Areas

Please be aware that Royal Mail Guaranteed services are not available to all customers in the UK, especially those that live in remote postcodes. Royal Mail advise customers of the following:

Larium contains: mefloquine, poloxamer, lactose, microcrystalline cellulose, maize starch, ammonium calcium alginate, talc, crospovidone and magnesium stearate. Do not take it if you are allergic to any of these ingredients.

Most people can take Larium, although it is not recommended for people susceptible to anxiety, depression, psychiatric symptoms or illness. Because travel is often stressful, Larium may increase stress-related symptoms. Some patients may experience nightmares, agitation, poor sleep and other psychological or psychiatric symptoms. Such symptoms can be-long lasting. If you develop symptoms of this nature, stop taking Larium. Further details can be found in the patient information leaflet supplied with Larium tablets.

Do not take Larium if you are allergic to mefloquine, or if you have mental health problems, severe liver problems or a history of fits or seizures.

Malaria symptoms are similar to flu and include shivers, fever, sweating, backache, headache, joint pains, vomiting, diarrhoea and sometimes delirium. These symptoms may develop a week and up to a year after you have been bitten by a mosquito.

For this reason, malaria is suspected in anyone with a feverish illness who has travelled to a malarial area within the past year, especially in the previous three months.

If you experience these symptoms after your return, you should seek medical evaluation immediately and tell the doctor that you have recently travelled.

We are a trusted pharmacy

We are regulated by a number of organisations in the UK including the MHRA,
GPhC &
CQC to ensure we
offer the highest level of service to every one of our customers.